Active NPI
Robert P Pereira PHD Inc
- Clinical Psychologist
- Birmingham, MI
National Provider Identifier
1174781462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- RP005866
- Legal business name
- ROBERT P PEREIRA PHD INC
- Practice address
- 801 S Adams Rd Ste 200
Birmingham, MI 48009-7018 - Phone
- (248) 258-5064
- NPI assigned
- May 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Pereira, PHD
- Title
- Owner
- Phone
- (248) 760-1797
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | RP005866 | MI | Primary |
Addresses
Primary practice location
801 S Adams Rd Ste 200
Birmingham, MI 48009-7018
Mailing address
801 S Adams Rd Ste 200
Birmingham, MI 48009-7018
Phone (248) 760-1797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
801 S Adams Rd
Ste 200
Birmingham, MI 48009
Phone (248) 258-5064
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Birmingham, MI
- NPI 1992879142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671494400000",
"number": "1174781462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 S ADAMS RD STE 200",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480097018",
"telephone_number": "248-760-1797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 S ADAMS RD STE 200",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480097018",
"telephone_number": "248-258-5064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT P PEREIRA PHD INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-23",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A",
"authorized_official_last_name": "PEREIRA",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-760-1797",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "RP005866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.